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NURS-FPX4030 Assessment 1 Locating Credible Databases and Research

NURS-FPX4030 Assessment 1 Locating Credible Databases and Research

NURS-FPX4030 Assessment 1 Locating Credible Databases and Research Example

Nursing Informatics in Healthcare

Nursing Informatics and the Nurse Informaticist

Nurses rely massively upon information from various sources, including computerized provider order entry (CPOE), electronic medical records (EMRs), test results, and progress notes to deliver quality care. Information from these modalities enhances nurses’ analytical and critical thinking skills necessary for transforming care and improving patient outcomes. Another aspect that prompts the need for developing analytical skills is the urge to protect health information (PHI) which refers to patient-specific data regarding medical histories, insurance, progress reports, and demographics. As a result, health institutions must institutionalize information management systems by hiring nurse informaticists to spearhead technology for acquiring, processing, and studying patients’ data.

What is nursing informatics?

As stated earlier, health organizations require specialties for developing methods and technologies for acquiring, processing, and studying patient data from various sources such as electronic health records (EHRs) and diagnostic tests. The American Nurse Association (ANA) defines nursing informatics as “the specialty that integrates nursing science with multiple information management and analytical science to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice” (Kassam, Nagle & Strudwick, 2017, p. 1).

Further, RegisteredNursing.org (2021) defines nursing informatics as a nursing field that incorporates computers and information sciences to develop and transform medical data and systems for supporting and improving patient care outcomes. Healthcare organizations rely on information management systems to safeguard patient safety, promote care quality, and understand dynamics in care delivery.

What is the role of the nurse informaticist?

Nurse informaticists are specialists in data management frameworks because they possess prerequisite knowledge of data acquisition, collection, interpretation, and integration in clinical practices. According to Nagle et al. (2017), the ever-changing information landscape requires nursing informatics specialists to update their skills. In this sense, they play a significant role in knowledge innovation and generation, providing guidance and supporting others in applying the emerging knowledge, motoring the applicability of new technologies, and change management.

Also, nurse informaticists oversee effective communication between healthcare professionals, enhance information documentation and promote data analytics necessary for reporting medical outcomes and value demonstration (Nagle et al., 2021, p. 219). As a result, these specialists contribute to the overall objectives of promoting patient safety, improving care quality, and enhancing medical outcomes.

Nursing Informaticists and other Healthcare Organizations

Undoubtedly, organizations invest massively in installing advanced information technologies and updating nurse informaticists’ skills and competencies to complement holistic data management approaches. In this sense, nurse informaticists play a significant role in promoting the continuous development and improvement of healthcare technologies.

According to Registered nursing.org (2021), nursing informaticists contribute to developing and improving information technology such as electronic medical records and computerized provider ordering systems that reduce medication errors, patient delays, and healthcare costs. In this sense, technologies like CPOE eliminate overdependence on hand-written medication transcripts that may be difficult to read, intercepting the root causes of medication administration inaccuracies and delays. As a result, it is valid to argue that institutions realize the return on investment by hiring nursing informaticists.

How do these nurse informaticists interact with the rest of the nursing staff and the interdisciplinary team?

Nurse informaticists improve communication and knowledge acquisition, sharing patterns by collaborating with other staff members, including physicians, IT experts, registered nurses, and nurse assistants. Also, they collaborate with patients to obtain firsthand information. According to Nagle et al. (2021), nursing informatics specialists provide guidance and support to other nursing staff in applying and using emerging knowledge, including clinical decision support, practice-based evidence (PBE), and genomics. Also, they support others in documenting information by embracing interdisciplinary team performance in remote monitoring, self-monitoring, and data analytics. As a result, they maintain meaningful relationships with other staff members to transform data management systems for promoting patient safety and appropriate acquisition, processing, and utilization of clinical information.

Impact of Full Nurse Engagement in Healthcare Technology

Healthcare technologies promote patient-centered care by promoting effective communication, enhancing engagements, and facilitating processes. Further, these technologies improve queue management, reduce stationery costs, and address knowledge barriers (Alolayyan et al., 2020). In this sense, nurses promote patient-centered care by embracing interdisciplinary collaboration and utilizing patient data. As a result, engaging nurses in healthcare technologies impacts various domains, including patient care, health information, workflow, and return on investment. 

Patient Care

As noted earlier, effective information management systems promote patient care by eliminating medication errors, facilitating processes, and addressing barriers to knowledge translation. According to Alotaibi & Federico (2017), health information technology enhances process efficiency by enhancing timeliness and promoting data tracking. Nurses’ engagement in healthcare technology promotes their ability to collaborate and address human errors, averting medication mistakes translating to quality patient care.

Protected Health Information (security, privacy, and confidentiality)

Effective data management approaches consistently safeguard data privacy, security, and confidentiality. Nurses’ data management competencies determine the likelihood of cyber security threats, including ransomware, hacking, and fraudulent activities. As a result, involving nurses in healthcare information technology enhance their awareness e physical, technical, and administrative safeguards for protecting patient and organizational information (Kruse et al., 2017). In this sense, nurses familiarize themselves with system encryption and decryption strategies, risk assessments, and developing security plans necessary for ensuring data security, privacy, and confidentiality.

Workflow

Health Information technology such as electronic health records promotes health workflows by enhancing process timeliness and accuracy. According to Alolayyan et al. (2020), health information technology improves queue management and saves time. When nurses participate in data management approaches, there is an increased likelihood of smooth operations such as data documentation and safe care delivery. As a result, fully engaging nurses in healthcare technology translates to improved performance and positive patient outcomes.

Costs and Return on Investment

It is valid to argue that installing and implementing health information technology is a cost-intensive endeavor because healthcare organizations are responsible for proper planning and resource allocation. However, the potential benefits of transforming healthcare informatics are beyond the costs burden of installing new technologies. For instance, new technologies promote medical safety by eliminating medication errors. Also, they enhance workflows and guarantee patient safety. As a result, they emerge as economically plausible quality improvement initiatives.

Opportunities and Challenges

Undoubtedly, emerging health information technologies such as telehealth, robotics, clinical decision support systems, and artificial intelligence enable healthcare professionals to promote care quality and improve process efficiency by enhancing workflows and guaranteeing care timeliness. However, implementing these technologies presents unintended consequences, including increased cost and barriers to change implementation.

Sittig et al. (2018) argue that technology monitoring, evaluation, and optimization require a total transformation of organizational data management approaches. Also, new technologies increase data’s susceptibility to cyber security threats such as phishing, ransomware, and hacking. Therefore, organizations can capitalize on the opportunities provided by these technologies while addressing challenges by hiring nurse informaticists to spearhead information management systems.

Summary of Recommendations and Conclusion

It is vivid that health information technology enhances process efficiency, timeliness, and accuracy. Also, new technologies guarantee quality care by eliminating human errors. As a result, organizations should hire nurse informaticists to support the installation and implementation of advanced health information technologies. Another benefit of hiring a nurse informaticist is collaborating with nursing staff to enhance data acquisition, collection, and utilization.

Thirdly, informatics experts play a significant role in monitoring new technologies, overseeing change management, and inspiring appropriate data documentation systems (Nagle et al., 2017, p. 219). Although installing new technologies and employing a nurse informaticist would require additional resources and inflict an economic burden on the organization, the potential benefits of the two approaches extend beyond the cost burden of installing new technologies and hiring a nurse informaticist.

References

Alolayyan, M., Alyahya, M., Alalawin, A., Shoukat, A., & Nusairat, F. (2020). Health information technology and hospital performance the role of health information quality in teaching hospitals. Heliyon, 6(10), e05040. https://doi.org/10.1016/j.heliyon.2020.e05040

Alotaibi, Y., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi Medical Journal, 38(12), 1173-1180. https://doi.org/10.15537/smj.2017.12.20631

Kassam, I., Nagle, L., & Strudwick, G. (2017). Informatics competencies for nurse leaders: Protocol for a scoping review. BMJ Open, 7(12), e018855. https://doi.org/10.1136/bmjopen-2017-018855

Kruse, C., Smith, B., Vanderlinden, H., & Nealand, A. (2017). Security techniques for electronic health records. Journal Of Medical Systems, 41(8), 127. https://doi.org/10.1007/s10916-017-0778-4

Nagle, L. M., Sermeus, W., Junger, A., & Bloomberg, L. S. (2017). The evolving role of the nursing informatics specialist. Stud Health Technol Inform, 232, 212-221. https://doi.org/10.3233/978-1-61499-738-2-212

RegisteredNursing.org. (2021, August 11). What is Nursing Informatics & How to become a nurse informaticist. What is Nursing Informatics & How to Become a Nurse Informaticist. https://www.registerednursing.org/nursing-informatics/ 

Sittig, D. F., Wright, A., Coiera, E., Magrabi, F., Ratwani, R., Bates, D. W., & Singh, H. (2018). Current challenges in health information technology-related patient safety. Health Informatics Journal, 26(1), 181–189. https://doi.org/10.1177/1460458218814893  

NURS-FPX4030 Assessment 1 Locating Credible Databases and Research

NURS-FPX4030 Assessment 1 Instructions: Locating Credible Databases and Research

Create a 1-2-page resource that will describe databases that are relevant to EBP around a diagnosis you chose and could be used to help a new hire nurse better engage in EBP.

Introduction

Evidence-based practice (EBP) integrates the best evidence available to guide optimal nursing care, with a goal to enhance safety and quality. EBP is crucial to nursing practice because it incorporates the best evidence from current literature, along with the expertise of the practicing nurse. The concern for quality care that flows from EBP generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise. To gain the knowledge, you require a good understanding of how to search for scholarly resources, as well as identify which databases and websites are credible for the purposes of implementing evidence-based changes in practice.

Your Online e-Portfolio

Creating an ePortfolio is not required in the BSN program, but you may find it helpful to create one to attach to your professional resume while job hunting. Online ePortfolios serve two key purposes: 1) to support learning and reflection, and 2) to be used as a showcase tool. Your learning journey can be documented, and ePortfolios contribute to lifelong learning and growth through reflection and sharing. Online ePortfolios can also be shared with employers and peers to present artifacts that demonstrate your accomplishments at Capella.

Professional Context

As a baccalaureate-prepared nurse, you will be responsible for providing patient-centered, competent care based on current evidence-based best practices. You will be required to do research, analysis, and dissemination of best evidence to stay abreast of these best practices. Understanding where to go to find credible sources and locate evidence, as well as which search terms to use, is the foundation of incorporation of best practices.

Scenario

You are supervising three nurses working on the medical-surgical floor of a local teaching hospital. This hospital is nationally recognized as a leader in education and has a computer lab with an online library where staff has access to medical research databases (that is, CINAHL, PubMed, Medline, and Cochrane library) and online sources of all hospital policies, procedures, and guidelines, and computers at nurse workstations that also have access to these resources. (For this scenario, use the Capella University Library to simulate the hospital’s online library.) You have given the nurses their patient assignments and you have all participated in shift report.

A new nurse who just completed orientation and training a week ago approaches you and tells you that one of the assigned patients has a diagnosis he or she is very unfamiliar with. Knowing that patient-centered care based on best practices is imperative to positive patient outcomes, you want to assist this nurse to find research that can be utilized to provide the best care for this patient.

Describe how you would communicate with this nurse to encourage him or her to research the diagnosis. Assume you will assist in the quest to locate evidence, then describe where you would go within the facility and what resources you would look for. These resources may include websites, journals, facility policies or guidelines, or any other sources of online information.

You may choose the diagnosis for the patient in this scenario. Choose something you would find interesting to research or that applies to a clinical problem you would be interested in addressing. Create a list of at least five sources that could be used to find evidence, with the best source listed first, and explain why the sources you chose are best to find evidence for the diagnosis you chose and the clinical scenario.

You are only evaluating the sources of evidence (database, website, policy database or website, et cetera). You are not actually completing a search and selecting evidence. Consider the following examples: a nursing journal in CINAHL may not be the best source of evidence for information on how to administer medications through a central-venous catheter, whereas a hospital policy database found on a website may not be the best source of information on caring for a patient with a rare chromosomal abnormality.

Preparation

To help ensure you are prepared to complete this assessment, review the following resources related to the Capella library. These resources will provide you an overview of the types of tools, resources, and guides available in the library. This may be useful in forming a better understanding of the library to apply to the hypothetical situation laid out in the scenario of this assessment.

Remember, it is also appropriate to look toward databases and resources outside of the Capella library, such as organizational policies, professional organizations, and government health care resources.

You are encouraged to complete the Evaluating the Credibility of Evidence activity. This activity offers an opportunity to practice evaluating the credibility of evidence. These skills will be necessary to complete Assessment 1 successfully and is for your own practice and self-assessment. Completing this activity is also a way to demonstrate course engagement.

Instructions

The purpose of this assessment is to understand where to find evidence that can be applied to clinical scenarios and to learn effective communication and collaboration with clinical staff during the process of evidence location. As a baccalaureate-prepared nurse, you will not only use research for self-improvement in your clinical role, but you will also serve as a mentor to supervised nursing staff.

Therefore, you will need to be able to communicate and collaborate effectively to guide them toward resources to find research, as well as support them through the initial evidence location process. In doing so, nurses can gain access to evidence that can be analyzed and utilized to stay current on best practices. This allows them to provide safe, patient-centered care and improve patient outcomes.

For this assessment:

  • Describe your role as a baccalaureate-prepared nurse supervising clinical staff nurses with regard to communication and collaboration in locating evidence for application to a nursing practice scenario.
  • Compile a list of five online databases or other online sources (that is, websites, journals, facility policies or guidelines, et cetera) that can be used to research evidence to apply to this scenario and describe to which of these you would direct a nurse colleague to search for evidence.
  • Describe where you might go in the clinical setting to complete this research and how you would access the desired, relevant research within research databases or other online sources.

Be sure to address the following in this assessment, which correspond to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you will know what is needed for a distinguished score.

  • Describe communication strategies to encourage nurses to research the diagnosis, as well as strategies to collaborate with the nurses to access resources.
  • Describe the best places to complete research and what types of resources you would want to access to find pertinent information for the diagnosis within the context of a specific health care setting.
  • Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a clinical diagnosis.
  • Explain why the sources of online information selected should provide the best evidence for the chosen diagnosis.
  • Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.

Note: While you are not selecting and evaluating specific evidence to help with the clinical diagnosis, you should still be citing the literature and best practices to support your description of your communication and collaboration approach. Additionally, it is appropriate to cite best practices related to EBP and evaluating databases to support your explanation as to why you selected the five sources of online information that you did.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

Additional Requirements

Your assessment should meet the following requirements:

  • Length of submission: 1–2 pages (not including the reference page) description of communication, collaboration, and evidence location process, including a list of databases or other sources with description of why they are appropriate for clinical scenario diagnosis (that is, something that would be useable in professional practice for other nurses). Be sure to include an APA-formatted reference page at the end of your submission.
  • Number of references: Cite a minimum of 4 sources of scholarly or professional evidence that supports your findings and considerations. Resources should be no more than five years old.
  • APA formatting: References and citations are formatted according to current APA style.

Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 1: Interpret findings from scholarly quantitative, qualitative, and outcomes research articles and studies.
    • Explain why the sources selected should provide the best evidence for the chosen diagnosis.
  • Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.
    • Describe the best places to complete research and what types of resources one would want to access to find pertinent information for a diagnosis within the context of a specific health care setting.
  • Competency 4: Plan care based on the best available evidence.
    • Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a clinical diagnosis, and ensure three out of five are specific to the diagnosis.
  • Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
    • Describe communication strategies to encourage nurses to research a diagnosis, as well as strategies to collaborate with the nurses to access resources.
    • Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
    • Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

NURS-FPX4030 Assessment 1 Locating Credible Databases and Research Scoring Guide

CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Describe communication strategies to encourage nurses to research a diagnosis/ health care issue, as well as strategies to collaborate with the nurses to access resources. Does not identify communication strategies to encourage nurses to research a diagnosis/ health care issue, as well as strategies to collaborate with the nurses to access resources. Lists communication strategies to encourage nurses to research a diagnosis/ health care issue, as well as strategies to collaborate with the nurses to access resources. Describes communication strategies to encourage nurses to research a diagnosis/ health care issue, as well as strategies to collaborate with the nurses to access resources. Describes communication strategies to encourage nurses to research a diagnosis/health care issue, as well as strategies to collaborate with the nurses to access resources. Additionally, notes specific benefits of strategies in helping to build professional competence or a positive professional relationship. Cites literature to support discussion.
Describe the best places, within the work setting, to complete research and what types of resources one would want to access to find pertinent information for the diagnosis/ health care issue. Does not describe the best places, within the work setting, to complete research and access resources to find pertinent information for the diagnosis/health care issue. Lists where the best places, within the work setting, are to complete research and access resources to find pertinent information for the diagnosis/health care issue. Describes the best places, within the work setting, to complete research and what types of resources one would want to access to find pertinent information for the diagnosis/health care issue. Describes the best places, within the work setting, to complete research and what types of resources one would want to access to find pertinent information for the diagnosis/health care issue. Notes one or more reasons for utilizing the places within the health care setting.
Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a diagnosis/ health care issue and three out of five should be specific to the diagnosis/health care issue. Does not identify sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a clinical diagnosis/health care issue. Identifies less than five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence specific to a clinical diagnosis/health care issue, or one or more of the identified sources of online information is inappropriate for professional nursing practice. Identifies five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence specific to a clinical diagnosis/health care issue. Identifies five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence specific to a clinical diagnosis/health care issue. Ranks the sources from most useful for nurses to least.
Explain why the sources selected should provide the best evidence for the chosen diagnosis/ health care issue. Does not explain the sources selected. Identifies the sources selected, but does not provide a full or clear explanation as to the relevance or usefulness of the sources selected within the context of the chosen diagnosis/health care issue. Explains why the sources selected should provide the best evidence for the chosen diagnosis/health care issue. Explains why the sources selected should provide the best evidence for the chosen diagnosis/ health care issue. Notes criteria used to determine the relevance and usefulness of the sources.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/ punctuation, word choice, and spelling. Does not organize content for ideas. Lacks logical flow and smooth transitions. Attempts to organize content with some logical flow and smooth transitions. Contains several errors in grammar/ punctuation, word choice, and spelling. Organizes content so ideas flow logically with smooth transitions; contains few errors in grammar/ punctuation, word choice, and spelling. Organizes content with a clear purpose. Content flows logically with smooth transitions using coherent paragraphs, correct grammar/ punctuation, word choice, and free of spelling errors.
Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format. Does not apply APA formatting to headings, in-text citations, and references. Does not use quotes or paraphrase correctly. Applies APA formatting to in-text citations, headings and references incorrectly, detracting noticeably from the content. Inconsistently uses headings, quotes, and/or paraphrasing. Applies APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format. Exhibits strict and flawless adherence to APA formatting of headings, in-text citations, and references. Quotes and paraphrases correctly.

NURS-FPX4030 Assessment 1 Locating Credible Databases and Research

NURS-FPX4030 Assessment 2: Determining the Credibility of Evidence and Resources

Develop a 2-4 page scholarly paper in which you describe a quality or safety issue, or a chosen diagnosis, and then identify and analyze credible evidence that could be used as the basis for applying EBP to the issue.

Introduction

The goal of using evidence-based research findings is to enhance safety and quality of patient care and ensure optimal outcomes are achieved. It is not uncommon to hear a nurse say, “why change it as we’ve always done it this way.” However, this is no longer acceptable in today’s practice environment. The profession of nursing has evolved, and the expectation is that the professional nurse has a scientific foundation to support the care that is provided. As the profession of nursing continues to evolve and engage in health care transformation, baccalaureate-prepared nurses are expanding taking on leadership roles that include incorporating EBPs.

To be able to do this, the nurse needs to understand the criteria and makes a resource credible, as this is crucial when deciding if the research is valid and reliable for implementation into health care settings. The nurse will need to incorporate the use of evidence-based practice models. EBP models are designed to assist the nurse in developing a plan to gather evidence to answer a practice problem or question. It is a systematic approach to direct the user to incorporate scholarly findings into current practice. These EBP models lead the nurse through the decision-making process of evaluating the literature to determine the best practice evidence for the practice issue or question.

It would be an excellent choice to complete the Vila Health Determining the Credibility of Evidence activity prior to developing the report. The activity is a media simulation that offers an opportunity to review a scenario and work on determining the credibility of presented evidence. These skills will be necessary to complete Assessment 2 successfully. This media simulation is one potential source of context on which to base your assessment submission. This will take just a few minutes of your time and is not graded.

Professional Context

As a baccalaureate-prepared nurse, you will be responsible for locating and identifying credible and scholarly resources to incorporate the best available evidence for the purposes of enhancing clinical reasoning and judgement skills. When reliable and relevant evidence-based findings are utilized, patients, health care systems, and nursing practice outcomes are positively impacted.

Scenario

For this assessment, you may choose from the following options as the context for the quality or safety issue or chosen diagnosis/health issue for researching and completing this assessment:

  • The specific diagnosis/health issue you identified in your previous assessment.
  • The simulation Vila Health: Determining the Credibility of Evidence.
  • A personal practice experience in which a sentinel event occurred.

Instructions

The purpose of this analysis is to better understand what constitutes credibility of journal articles as well as websites. The role of the baccalaureate-prepared nurse in incorporating evidence-based research continues to growth in clinical practice. As quality improvement (QI) measures to reduce safety risks continue to be emphasized, the need for evidence-based models and evidence-based templates is growing. This type of systematic approach to incorporating evidence-based findings allows nurses to make clinical and operational decisions based upon the best available evidence. When the most up-to-date evidence-based findings are utilized, patient-centered care improves outcomes and enhances the patient experience.

Below is a quick review table of several well-known Evidence-Based Practice Models used to guide exploration:

Evidence-Based Practice Models
Iowa Model of Evidence-Based Practice
Stetler Model
Ottawa Model
PARiHS (Promoting Action on Research Implementation in Health Services) Model
ACE (Academic Center for Evidence-Based Practice) Star Model
ARCC (Advancing Research and Clinical Practice Through Close Collaboration) Mode
John Hopkins Model
KTA (Knowledge-to-Action) Model
For this assessment:
  • Explain the criteria that should be used when determining the credibility of journal articles as well as websites.
  • Support your explanations with references to the literature or research articles that describe criteria that should be used to determine credibility.
    • Your identification and determination of credibility should be done within the context of your chosen scenario for this assessment. For example, if you choose to use the provided Vila Health scenario, your initial identification of resources should be of resources that will best help address the presented issue. However, if you are locating resources to help provide evidence-based care for the diagnosis/health care issue you identified in the first assessment, you may want to begin your literature and evidence search from the databases that were identified. Any of the three scenario options are acceptable. So, pick the one that most interests you.

Be sure to address the following in this assessment, which correspond to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you will know what is needed for a distinguished score.

  • Describe a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach.
  • Explain criteria that should be considered when determining credibility of resources such as journal articles and websites.
  • Analyze the credibility and relevance of evidence and resources within the context of a quality or safety issue, or a chosen diagnosis.
    • This is where you are selecting the specific resources to help address the issue in your chosen scenario.
  • Identify the Evidence-Based Practice model and explain the importance of incorporating credible evidence into the EBP model used to address a quality or safety issue, or a chosen diagnosis/health care issue. Review the literature below and choose the appropriate model for your diagnosis/health care issue.
  • Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.

Additional Requirements

Your assessment should meet the following requirements:

  • Length of submission: 2-4-page scholarly paper, this does not include the APA-formatted title page and reference list.
  • Number of references: Cite 3-5 sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than five years old.
  • APA formatting: References and citations are formatted according to current APA style.

Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final capstone course.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.
    • Explain criteria that should be considered when determining credibility of resources such as journal articles and websites.
    • Analyze the credibility and relevance of evidence and resources within the context of a quality or safety issue, or a chosen diagnosis.
  • Competency 3: Apply an evidence-based practice model to address a practice issue.
    • Identify an evidence-based practice model (such as Iowa, Stetler, John Hopkins, etc.) and explain the importance of incorporating credible evidence into an EBP model used to address a quality or safety issue, or a chosen diagnosis/health care issue.
  • Competency 4: Plan care based on the best available evidence.
    • Describe a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach.
  • Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
    • Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
    • Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

Determining the Credibility of Evidence and Resources Scoring Guide

CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Describe a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach. Does not describe a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach. Lists a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach. Describes a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach. Describes a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach. Provides a specific rationale for the importance or benefit of applying an evidence-based approach. Uses literature to support discussion.
Explain criteria that should be considered when determining credibility of resources such as journal articles and websites. Does not explain criteria that should be considered when determining credibility of resources such as journal articles and websites. Lists criteria that should be considered when determining credibility of resources such as journal articles and websites. Explains criteria that should be considered when determining credibility of resources such as journal articles and websites. Explains criteria that should be considered when determining credibility of resources such as journal articles and websites. Notes one or more ways the criteria could be applied to a specific resource.
Analyze the credibility and relevance of evidence and resources within the context of a quality or safety issue, or a chosen diagnosis. Does not analyze the credibility or relevance of evidence or resources. Describes the credibility or relevance of evidence or resources, but does not offer a complete analysis. The specific context of a quality or safety issue, or a chosen diagnosis may be unclear as well. Analyzes the credibility and relevance of evidence and resources within the context of a quality or safety issue, or a chosen diagnosis. Analyzes the credibility and relevance of evidence and resources within the context of a quality or safety issue, or a chosen diagnosis. Additionally, identifies the most useful evidence or resource based upon the analysis.
Identify an evidence-based practice model (such as John Hopkins, Stetler, Iowa, etc.) and explain the importance of incorporating credible evidence into an EBP model used to address a quality or safety issue, or a chosen diagnosis/health care issue. Does not identify an evidence-based practice model used to address a quality or safety issue, or a chosen diagnosis/health care issue. Identifies an evidence-based practice model used to address a quality or safety issue, or a chosen diagnosis/health care issue. Does not explain the model or the importance of incorporating credible evidence. Identifies an evidence-based practice model and explains the importance of incorporating credible evidence into an evidence-based practice model used to address a quality or safety issue, or a chosen diagnosis/health care issue. Explains the importance of incorporating credible evidence into an evidence-based practice model used to address a quality or safety issue, or a chosen diagnosis/health care issue. Notes specific examples of how the model could help improve the chosen issue or diagnosis/health care issue.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/ punctuation, word choice, and spelling. Does not organize content for ideas. Lacks logical flow and smooth transitions. Attempts to organize content with some logical flow and smooth transitions. Contains several errors in grammar/ punctuation, word choice, and spelling. Organizes content so ideas flow logically with smooth transitions; contains few errors in grammar/ punctuation, word choice, and spelling. Organizes content with a clear purpose. Content flows logically with smooth transitions using coherent paragraphs, correct grammar/ punctuation, word choice, and free of spelling errors.
Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format. Does not apply APA formatting to headings, intext citations, and references. Does not use quotes or paraphrase correctly. Attempts to apply APA formatting to in-text citations, headings and references incorrectly, detracting noticeably from the content. Inconsistently uses headings, quotes and/or paraphrasing. Applies APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format. Exhibits strict and flawless adherence to APA formatting of headings, intext citations, and references. Quotes and paraphrases correctly.

Resources: Promoting Evidence-Based Practice

      • This article covers the translation of research into clinical practice and discusses the dissemination and implementation of EBP.
      • This article presents a project that aims to evaluate the impact of the incorporation of the Advanced Practice Nurse role on the implementation of EBP at three levels: Context, nurses’ perceptions, and clinical outcomes.
      • This article discusses core competencies in evidence-based practice (EBP) that health professionals should meet? Core competencies inform the development of EBP curricula for health professionals. Evidence-based practice (EBP) is necessary for improving the quality of health care as well as patient outcomes.
      • Innovations in patient care, nursing, and the practice environment are hallmarks of organizations receiving American Nurses Credentialing Center (ANCC) Magnet Recognition. This article examines the growing importance of nursing research on patient care and outcomes and the role of Magnet hospitals as research pacesetters for the nursing profession. The authors discuss the critical difference between research and evidence-based practice, why both are important, and how organizations can develop the structures and processes to inspire and advance a robust culture of clinical inquiry.
      • This article provides a discussion on algorithm with steps and decision points for nurses to follow based on a question from a clinical issue or problem. The model was approved by nursing-shared governance and is used for guiding relevant projects. The I3 Model guides the nurse in inquiry or improvement while supporting a culture of innovation in professional practice.
      • This article will discuss evidence-based practice as it continues to advance the nursing discipline. Evidence-based practice is foundational to undergraduate and graduate nursing education and is a way for the nursing discipline to minimize the theory to practice gap. This article discusses the concept of evidence-based practice from a historical perspective as it relates to nursing in the educational and practice domains. The concept of evidence-based practice is defined, and the similarities and differences to evidence-based medicine discussed. It is crucial that registered nurses be proactive in their quest for research knowledge, so the gap between theory and practice continues to close. Utilizing nursing best practice guidelines, reviewing, and implementing applicable research evidence, and taking advantage of technological advances are all ways in which nursing can move forward as a well-informed discipline.
      • This article shares as the role of nursing grows in healthcare, the engagement of frontline nurses in evidence-based practice, quality improvement, and research is becoming the expectation and no longer the exception. Clinical nurses are in a unique position to inform and implement scholarly projects. The purpose of this staff development and the capacity-building project was to increase the output of scholarly work among frontline nurses through the formalization of nursing inquiry support via designated nursing inquiry project coordinators.
      • This website explains the various evidence-based nursing models.
      • This website also explains the various evidence-based nursing models.
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